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Billing entities under WALLER, MIKE
Every Medicaid billing NPI that lists WALLER, MIKE (ceo) as its authorized official in NPPES: 2 entities in 2 states, paid $361K combined.
28Combined paid$361K
33Billing entities2
24GClaims3,806
States2
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | Committed 100 Men Helping Boys | Las Vegas, NV | Community/Behavioral Health Agency | $290K |
| 2 | Regional Health Care Clinic INC | Warsaw, MO | Federally Qualified Health Center (FQHC) | $72K |